经桡动脉途径急诊PCI治疗的安全性临床分析

目的探讨经桡动脉途径急诊经皮冠脉介入治疗（PCI）的安全性及可行性。方法回顾性分析皖北煤电集团总医院2006年11月-2009年6月对76例急性心肌梗死患者采用经桡动脉途径行急诊PCI治疗的临床资料。观察造影成功率、入院-球囊扩张时间、梗塞相关动脉的开通率、血流情况、术中并发症,住院期间主要心血管事件。结果经桡动脉造影成功率为100%;入院-球囊扩张时间（55±18）min;梗塞相关动脉的开通率为97.4%;血流情况：TIMI3级93.4%;皮下瘀斑的发生率为3.8%;前臂血肿的发生率为2.9%;桡动脉闭塞的发生率为1.0%;平均术后住院天数（5.9±1.4）d;2例出现围手术期死亡。结论经桡动脉途径直接PCI治疗急性心肌梗死安全有效,在有条件的医院可首选经桡动脉途径PCI作为急性心肌梗死（AMI）治疗的方法。

Evaluating the Clinically Safety of Primary Percutaneous Coronary Intervention through Radial Artery

Objective To evaluate the clinically safety and feasibility of primary percutaneous coronary intervention through radial artery.Methods Clinical data of 76 cases with acute myocardial infarction from November 2006 to June 2009 treated by primary percutaneous coronary intervention through radial artery were analyzed retrospectively.Results The angiography successful rate was 100%;the time interval of onset to balloon was（55±18） minutes;the reperfusion rates of the infarction related artery（IRA） was 97.4%;the blood flow of TIMI 3 was 93.4%;the incidence of subcutaneous ecchymosis was 3.8%;forearm hematoma was 2.9%;radial artery occlusion was 1.0%;the average length of post-operative hospital stay was（5.7±1.6） days.2 cases were dead in preoperative.Conclusion Direct PCI through radial artery was effective and safe for AMI.It should be chosen firstly for treatment of AMI in the hospitals which could carry out PCI.